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Case presentation SL was a 44 year old Caucasian male with a past medical history of severe morbid obesity (BMI 99), heart failure with preserved ejection fraction, oxygen-dependent obesity hypoventilation syndrome (OHS), chronic non-healing leg wounds, anemia, uncontrolled hypertension on 2 anti-hypertensive agents, limited mobility, and major depressive disorder who presented to an academic medical center for treatment of acute on chronic diastolic heart failure due to progressive dyspnea
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For appropriate patients, it may support weight management as part of a clinician-guided treatment plan
Studies show insulin sensitivity improvements of 2040% in many patients, with benefits appearing within weeks of starting therapy
Discuss diabetes medications or thyroid history before interpreting weight or glucose changes
This is where your doctor can provide more information, argue your case with a medical director from the insurance company, or submit a letter detailing why this medication is uniquely necessary for your health
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